16th October 2007

Yes, I would/No, I wouldn’t

Right now, the “No, I wouldn’t”s are in the lead.  The tally is OmegaDad, EzFez, Margaret and Theresa, all of whom essentially say “Why?  It’s just another thing I would worry about!”

I do like Theresa’s idea of “just feed me ice cream and gummi bears!”

The “Yes, I would want to know”s either have a family history of Alzheimer’s or a deep-seated need for control.  ;)  Del says while he might use it to prepare, he might just blow his retirement savings on fast women and booze.  Sister Carrie doesn’t quite put it like that, but says she wants to enjoy while she can, as does Kat.

I’m squarely in the middle on this one.  On the one hand, Medical Science Is Doing Amazing Things These Days.  (Hear that plummy announcer’s voice?  I swear I have Marlin Perkins’ voice forever engraved on my mind–pseudo Alzheimer’s aside.  “As the sun sets on the Serengeti, my intrepid assistant Jim is dangling from a rope in front of a hungry lion…”)

Anyway, Amazing Things.  The point being that, perhaps, sometime soon, they’ll come up with drugs or therapies or a brain-artery Roto-rooter that scrubs the plaque away, and Alzheimer’s will no longer be the soul-sucking personality destroyer that it is now.

In which case, hell, yeah, I’d like to know ahead of time, so that I can trot myself down to the local medico and say, “Gimme drugs!”  (Or “Gimme that Roto-rooter; I’ll do it myself!”)

On the other hand, I have the experience of OmegaBro’s maternal family to scare me silly.  Aunt J. (OmegaBro’s mom, dad’s first wife) had an ongoing edgy relationship with her own mother, with a hefty thread of resentment coloring everything.  And then her mother started the downward spiral that is Alzheimer’s.  She got tossed out of the assisted living home–either because she had become so nasty and bitchy that no-one wanted anything to do with her or because she kept forgetting that she had put a pot of water on to boil for tea.  Then she lived with Aunt J., who had to cope with a slew of emotions based on obligation, resentment, tainted love…

Of course, to me, L. was a lovely lady, but I still remember the first year she lived with Aunt J., when, at Christmastime, over the course of five hours she asked the same set of questions five or six times.  It was my first experience with Alzheimer’s, and made me incredibly sad, because L. was a vivid, vivacious, witty, proud and self-sufficient lady, or had been.  And that was at the early stages; by the time she died she had been bedridden for a year, no longer recognized her daughter, her grandsons, or her great-grandsons, couldn’t clothe herself or take care of herself in any manner.

So, on the third hand, knowing ahead of time, coupled with my memories of L., would give me incredible incentive to investigate any and all possible treatments and rage, rage against the dying of the light.

But, on the fourth hand, I am prone to stewing, and, like all the “Hell, no!” folks above, it would be just yet another thing to stew about.

Okay, so far I’ve got four hands going here.  I am not an octopus.  But obviously I am not decisive on this issue.  Finding out early if I had cancer?  Hokie doke.  No problemo.  Let’s find out, let’s kick that cancer’s ass, and if it doesn’t work, well, we’ve fought the good fight.

Ditto with diabetes, heart disease…

But these are all physical.  It’s the mental and emotional capacities that get clobbered by Alzheimer’s.  It’s so easy to be strong (at least in theory) with physical problems, but not so easy with a shrinking fear of the Essential Me just…fading away.

Anyway, it’s an interesting mental exercise.  Part of my issue is that I have all these incredibly long-lived women in my mother’s side of the family…so I keep thinking it’s not possible that can last more than three generations, that the strong pioneer stock must be diluted by now, so there must be some catastrophe awaiting me as a legacy from my dad’s side, to put the kibosh on the long-lived Mills women.

In the meantime, given that the first of the Baby Boomers has just begun picking up her social security check, and there are millions more just like her following along, the field of gerontology and elder health is just going to be busy and booming for quite a while.  Since I am towards the end of the Baby Boomer cohort, it’s quite possible that all the research that is going to go on in the next twenty years will pay off with exceptional dividends for me…and those like me.

Onto less morbid topics tomorrow!

posted in Illnesses, Issues, Philosophy, Science | 2 Comments